This part of the law was by design, as admitted, to make states bend to the federal will.
Your state’s citizens have to pay for Obamacare but if your state does not set up an exchange, then its citizens that would otherwise qualify for subsidies will not get any.
The carrot and the stick, applied with a vengeance to us guinea pigs here in flyover country...
Fast forward to now, CW.
Hurray for the American People via their state governments.
THIRTY SIX STATES REFUSED TO SET UP AN EXCHANGE.
We just need to keep on our feet, pushing back.